Tobacco Free Ireland - Fenton Howell Presented on Thursday 5th June 2014.

1. Tobacco Free Ireland 2025
5th/9th June 2014
The Endgame: Tobacco Control Workshop.
Dr Fenton Howell
NationalTobacco Control Advisor
Tobacco and Alcohol Control Unit
Department of Health, Dublin.
Tobacco Free Ireland 2025

2. Tobacco Free Ireland 2025
“In Ireland a tobacco free society will
mean the achievement of a smoking
prevalence rate of less than 5% of
the Irish population by 2025”
Tobacco Free Ireland

3. Tobacco Free Ireland 2025

4. Tobacco Free Ireland 2025
Tobacco Free Ireland: Key messages
 A Framework for Improved Health and Wellbeing
 Prevention is paramount
 Multi-faceted approach needed
 Population and risk based approached
 Children a priority
 Denormalisation of tobacco use
 WHO FCTC and MPOWER model
 Regulate the tobacco retail environment
 Build and maintain compliance with legislation

5. Tobacco Free Ireland 2025
Building on progress:
 Towards a Tobacco Free Society (2000)
 Smokefree workplace legislation 29th March 2004
 1st country in the world
 Point of sale advertising ban (2009)
 1st country in EU
 Graphic warnings on tobacco products (2012)
 HSE Tobacco Control Framework e.g. (2010)
 Tobacco Free Campus
 Social Marketing QUIT Campaign
 Brief Intervention Training Programme
 National Tobacco Control Inspection Programme

6. Tobacco Free Ireland 2025
Smoking prevalence: adults, improving
but unacceptable
0
5
10
15
20
25
30
35
Jun-03
Dec-03
Jun-04
Dec-04
Jun-05
Dec-05
Jun-06
Dec-06
Jun-07
Dec-07
Jun-08
Dec-08
Jun-09
Dec-09
Jun-10
Dec-10
Jun-11
Dec-11
Jun-12
Dec-12
Male
Female
Overall Prevalence
Survey of Lifestyle,Attitudes and Nutrition (SLAN) 2007 – 29%
Office ofTobacco Control OmnibusTracker Survey 2007 - 28%
Office ofTobacco Control OmnibusTracker Survey 2012 - 22%

7. Tobacco Free Ireland 2025
Smoking prevalence: children,
improving but unacceptable
 HBSC
 ESPAD
Smoking prevalence
15 year olds 1998 2010
Ireland 33% 17% ( 50%)
HBSC average 33% 24% ( 28%)
Lifetime use of tobacco
15 year olds 1999 2011
Ireland 73% 43% ( 41%)
ESPAD average 69% 54% ( 28%)

8. Tobacco Free Ireland 2025
Consequences of tobacco use
11 IN EVERY 2 CHILDREN WHO SMOKE
A CIGARETTE WILL BECOME A SMOKER1
2
11 IN EVERY 2 SMOKERS WILL DIE
OF A TOBACCO RELATED DISEASE2
2
1 DiFranza et al. The Natural History and Diagnosis of Nicotine Addiction. Current Periodic
Reviews, 2011,7, 88-96
2 Doll et al. Mortality in relation to smoking: 40 years observations on male British doctors.
British Medical Journal 1994; 309:901-911).

9. Tobacco Free Ireland 2025
Smoke Free Environments
 Prohibit smoking in primary and secondary school
campuses and on childcare campuses
 Promote smoke free campuses for healthcare facilities,
third level institutions and major sporting stadia
 Promote tobacco free playgrounds, parks and beaches
 Prohibit smoking in cars where children are present*

10. Tobacco Free Ireland 2025

11. Tobacco Free Ireland 2025
Tobacco retail*
 Licensing system for retailers
 Prohibit sales of tobacco by those under 18
 Prohibit tobacco sales at events where audience under 18
 Prohibit self-service vending and mobile units
 On the spot fines/minimum period of suspension
 Name and shame
 Strengthen enforcement by HSE

12. Tobacco Free Ireland 2025
Tobacco marketing
 Standardised packaging*
 Defend point of sale
measures
 Monitor brand stretching
 Minimise portrayal of
smoking in entertainment
sector
 Implement Tobacco
Products Directive

13. Tobacco Free Ireland 2025
Enforcement
 Enhance National Tobacco Control Inspection Programme
 Smokefree
 Point of sale
 Sales to minors
 Graphic warnings
 Stealth marketing
 Build further investigative and enforcement capacity
within HSE
 Ensure existing legislation fit for purpose

14. Tobacco Free Ireland 2025
Smoking cessation
 Co-ordinate smoking cessation
 Evidence based guidelines
 Target key risk groups
 Train frontline health care
workers in smoking cessation
 Regulatory framework for
nicotine products
 Invest in mass/social media

15. Tobacco Free Ireland 2025
Other measures
 Partnership, national and international
 Fiscal – DOH, DOF and Revenue
 Examine possibility of an environmental levy
 Sign and implement the FCTC illicit trade protocol
 Protect public health policies from tobacco industry and
vested interest (WHO FCTC 5.3)
 Active national and international research and surveillance
on tobacco use
 Supply and demand

16. Tobacco Free Ireland 2025
Tobacco Free Ireland
 Not going alone
 Bhutan 2004, New Zealand 2025
 Scotland 2034, Canada 2035, Finland 2040
 Some already there
 HSE 2012 Staff Smoking survey 15%
 Medical/Dental Staff- 4% (45% in 1967!)
 Health and Social Care Staff – 9%
 Nursing Staff -11%
 Other Staff – 18%

17. Tobacco Free Ireland 2025